Harley, John W

Harley, John W is an individual health care provider with primary practice located at 101 Marilyn Ave Suite 4, Goshen IN 46526-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Harley, John W can be contacted via phone (574) 533-2769.

Contact Information

Primary practice address
101 Marilyn Ave Suite 4 Goshen IN 46526-4800
Phone: (574) 533-2769
Fax: (574) 534-6822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31690 Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 31690 Indiana

Profile Details

NPI number 1649252388
LBN Legal business name Harley, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jan 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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